JIM WALLACE & ASSOCIATES, INC is a mental health (including community mental health center) clinic center in Ardmore, OK. JIM WALLACE & ASSOCIATES, INC NPI is 1871263913. The provider is registered as an organization entity type.
The provider Is Doing Business As The Jetty Counseling Center.
The provider's business location address is:
301 W MAIN ST STE 402
ARDMORE, OK
ZIP 73401-322
Phone: (580) 224-2830
Fax: (405) 663-6396
The provider's authorized official is Teresa Gale Rue-wallace .
The authorized official title is Owner/ceo/president/exec. Director and has the following contact phone number (405) 306-8511.
The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/21/2021.